Doctor Name: | ANGELA KASBOHM |
NPI Number: | 1861572505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.D. |
License Number: | 1068 |
Business Practice Address: | 2115 Parkview Dr El Reno, OK - 730362109 |
Business Phone Number: | 4052622640 |
Business Fax Number: | 4054222521 |
Mailing Address: | 2115 Parkview Dr, EL RENO |
State: | OK |
Postal Code: | 730362109 |
Phone Number: | 4052622640 |
Fax Number: | 4054222521 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |